NPI | 1407168214 |
---|---|
Former Name | JENNIFER DEFRAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 811508) |
Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education (Licence: 811508) |
133VN1006X Dietitian, Registered Nutrition, Metabolic (Licence: 811508) | |
Enumeration Date | 2010-07-08 |
Last Update Date | 2012-02-24 |